Individual
PATRICK MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2532 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 845-0068
Mailing address
729 FOSTER DR, BELLEVILLE, IL 62226-6530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024534
IL
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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